Individual
MRS. CHISLAINE MARIAH WEISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
212 S 4TH ST STE 401, GRAND FORKS, ND 58201-4776
(701) 775-7725
Mailing address
212 S 4TH ST STE 401, GRAND FORKS, ND 58201-4776
(701) 775-7725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5447
ND
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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